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Table 9D: Patient Service Revenue

Minnesota Data

X

16 Awardees

Line Payer Category Charges Collections
Full Charges This Period (a)
$
% of Payer % of Total Amount Collected This Period (b)
$
% of Payer % of Total % of Charges
1. Medicaid Non-Managed Care $94,709,210 100.00% 40.83% $111,269,760 100.00% 68.35% 117.49%
2a. Medicaid Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
2b. Medicaid Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $94,709,210 100.00% 40.83% $111,269,760 100.00% 68.35% 117.49%
4. Medicare Non-Managed Care $27,485,488 100.00% 11.85% $14,872,752 100.00% 9.14% 54.11%
5a. Medicare Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
5b. Medicare Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $27,485,488 100.00% 11.85% $14,872,752 100.00% 9.14% 54.11%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $8,619,135 100.00% 3.72% $3,729,429 100.00% 2.29% 43.27%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $8,619,135 100.00% 3.72% $3,729,429 100.00% 2.29% 43.27%
10. Private Non-Managed Care $45,895,260 100.00% 19.78% $21,968,641 100.00% 13.49% 47.87%
11a. Private Managed Care (capitated) $0 0.00% 0.00% $0 0.00% 0.00%
11b. Private Managed Care (fee-for-service) $0 0.00% 0.00% $0 0.00% 0.00%
12. Total Private (Sum of Lines 10 + 11a + 11b) $45,895,260 100.00% 19.78% $21,968,641 100.00% 13.49% 47.87%
13. Self-Pay $55,269,247 100.00% 23.83% $10,960,934 100.00% 6.73% 19.83%
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $231,978,340 100.00% $162,801,516 100.00% 70.18%
Line Payer Category Retroactive Settlements, Receipts, and Paybacks(c) Adjustments
Collection of Reconciliation
/Wraparound Current Year(c1)
$
Collection of Reconciliation
/Wraparound Previous Years(c2)
$
Collection of Other Payments: P4P, Risk Pools, etc.(c3)
$
Penalty/ Payback (c4)
$
Net Retros
$
Net Retros % of Charges Adjustments (d)
$
Adjustments % of Charges
1. Medicaid Non-Managed Care $840,718 $189,003 $1,027,127 $0 $2,056,848 2.17% ($12,327,764.00) -13.02%
2a. Medicaid Managed Care (capitated) $0 $0 $0 $0 $0 $0
2b. Medicaid Managed Care (fee-for-service) $0 $0 $0 $0 $0 $0
3. Total Medicaid (Sum of Lines 1 + 2a + 2b) $840,718 $189,003 $1,027,127 $0 $2,056,848 2.17% ($12,327,764.00) -13.02%
4. Medicare Non-Managed Care $301,727 $710,530 $0 $0 $1,012,257 3.68% $10,845,524 39.46%
5a. Medicare Managed Care (capitated) $0 $0 $0 $0 $0 $0
5b. Medicare Managed Care (fee-for-service) $0 $0 $0 $0 $0 $0
6. Total Medicare (Sum of Lines 4 + 5a + 5b) $301,727 $710,530 $0 $0 $1,012,257 3.68% $10,845,524 39.46%
7. Other Public, including Non-Medicaid CHIP, Non-Managed Care $0 $0 $0 $0 $0 0.00% $5,582,005 64.76%
8a. Other Public, including Non-Medicaid CHIP, Managed Care (capitated) $0 $0 $0 $0 $0 $0
8b. Other Public, including Non-Medicaid CHIP, Managed Care (fee-for-service) $0 $0 $0 $0 $0 $0
9. Total Other Public (specify _______) (Sum of Lines 7 + 8a + 8b) $0 $0 $0 $0 $0 0.00% $5,582,005 64.76%
10. Private Non-Managed Care $0 $0 $0 0.00% $22,447,004 48.91%
11a. Private Managed Care (capitated) $0 $0 $0 $0
11b. Private Managed Care (fee-for-service) $0 $0 $0 $0
12. Total Private (Sum of Lines 10 + 11a + 11b) $0 $0 $0 0.00% $22,447,004 48.91%
13. Self-Pay
14. TOTAL (Sum of Lines 3 + 6 + 9 + 12 + 13) $1,142,445 $899,533 $1,027,127 $0 $3,069,105 1.32% $26,546,769 11.44%
Line Sliding Fee Discounts (e)
$
Bad Debt Write-Off (f)
$
13. Self-Pay $31,404,845 $8,071,857

Footnotes

'-' Data cannot be calculated or has been suppressed for confidentiality purposes.

'**' Patient Support Services are listed as Enabling Services in the 2025 UDS Manual.

Cells that are shaded blue represent data that was not reported or null values.

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